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American Academy of Pediatrics. Clinical report--sport-related concussion in children and adolescents. Pediatrics 2010 Sep;126(3):597-615

Date

09/02/2010

Pubmed ID

20805152

DOI

10.1542/peds.2010-2005

Scopus ID

2-s2.0-77956280976   457 Citations

Abstract

Sport-related concussion is a "hot topic" in the media and in medicine. It is a common injury that is likely underreported by pediatric and adolescent athletes. Football has the highest incidence of concussion, but girls have higher concussion rates than boys do in similar sports. A clear understanding of the definition, signs, and symptoms of concussion is necessary to recognize it and rule out more severe intracranial injury. Concussion can cause symptoms that interfere with school, social and family relationships, and participation in sports. Recognition and education are paramount, because although proper equipment, sport technique, and adherence to rules of the sport may decrease the incidence or severity of concussions, nothing has been shown to prevent them. Appropriate management is essential for reducing the risk of long-term symptoms and complications. Cognitive and physical rest is the mainstay of management after diagnosis, and neuropsychological testing is a helpful tool in the management of concussion. Return to sport should be accomplished by using a progressive exercise program while evaluating for any return of signs or symptoms. This report serves as a basis for understanding the diagnosis and management of concussion in children and adolescent athletes.

Author List

Halstead ME, Walter KD, Council on Sports Medicine and Fitness

Author

Kevin D. Walter MD Associate Professor in the Orthopaedic Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Athletic Injuries
Brain Concussion
Child
Humans